| Author | Santos, Bruna Damázio | |
| Author | Nascimento, Mariana Martins Gonzaga do | |
| Author | Oliveira, Grazielli Cristina Batista de | |
| Author | Nascimento, Yone de Almeida | |
| Author | Mambrini, Juliana Vaz de Melo | |
| Author | Cid, Annaline Stiegert | |
| Author | Piovesan, Taıza Graziele Costa | |
| Author | Fernandes, Laura Barbosa | |
| Author | Martins, Ursula Carolina de Morais | |
| Author | Neves, Carina de Morais | |
| Author | Silva, Danielle Fernandes da | |
| Author | Oliveira, Djenane Ramalho de | |
| Access date | 2022-02-10T17:44:25Z | |
| Available date | 2022-02-10T17:44:25Z | |
| Document date | 2021 | |
| Citation | SANTOS, Bruna Damazio et al. Clinical Impact of a Comprehensive Medication Management Service in Primary Health Care. Journal of Pharmacy Practice, v. 34, n. 2, p. 265-271, 2019. https://doi.org/10.1177/0897190019866309 | pt_BR |
| ISSN | 0897-1900 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/51139 | |
| Language | eng | pt_BR |
| Publisher | Sage Publications | pt_BR |
| Rights | restricted access | pt_BR |
| Title | Clinical Impact of a Comprehensive Medication Management Service in Primary Health Care | pt_BR |
| Type | Article | |
| Abstract | Objective: To evaluate the clinical impact of a comprehensive medication management (CMM) service in a Brazilian primary health-care setting. Methods: A quasi-experimental study has been carried out between July 2014 and November 2016 with patients who received the service in the primary care setting of a Brazilian city (n ¼ 1057). Factors associated with drug therapy problems (DTP) detection in the initial assessment were evaluated by performing univariate and multivariate analyzes. To evaluate the impact of the CMM service, a linear regression model was constructed from the difference between the initial and final values of the clinical and laboratory parameters adjusted by multiple variables. Results: A total of 1642 DTPs was identified, the most prevalent one being “nonadherence” (31.9%) and the “need for additional drug therapy” (22.9%). The use of 5 or more medications and the presence of 3 or more diseases were positively associated with the identification of 3 or more DTPs during the initial assessment. Even after multiple adjustments, a statistically significant reduction has been observed in the values of glycated hemoglobin, systolic blood pressure, low-density cholesterol, and total cholesterol. Conclusion: The CMM service contributed to the resolution of DTP and showed positive clinical impact in primary health care in the studied setting. | pt_BR |
| Affilliation | Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil | pt_BR |
| Affilliation | Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil /Department of Pharmaceutical Products. College of Pharmacy. Federal University of Minas Gerais. Belo Horizonte, MG, Brazil | pt_BR |
| Affilliation | Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brasil/Department of Pharmaceutical Products. College of Pharmacy. Federal University of Minas Gerais. Belo Horizonte, MG, Brazil/Municipal Government of Lagoa Santa. Lagoa Santa, MG, Brazil | pt_BR |
| Affilliation | Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil/Newton Paiva University Center. Belo Horizonte, MG, Brazil | pt_BR |
| Affilliation | Center for Studies on Aging and Public Health. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte,MG, Brazil | pt_BR |
| Affilliation | Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil/Pitagoras Faculty. Betim, MG, Brazil | pt_BR |
| Affilliation | Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil | pt_BR |
| Affilliation | Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil | pt_BR |
| Affilliation | Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil | pt_BR |
| Affilliation | Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil | pt_BR |
| Affilliation | Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil/Municipal Government of Belo Horizonte. Belo Horizonte,MG, Brazil | pt_BR |
| Affilliation | Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil | pt_BR |
| Subject | medication therapy management | pt_BR |
| Subject | pharmaceutical care | pt_BR |
| Subject | pharmaceutical services | pt_BR |
| Subject | primary health care | pt_BR |
| Subject | outcome assessment | pt_BR |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
